某医院临床科室用血管理评价的体会

Experience in the practice of blood management in clinical departments in our hospital

目的探讨医院输血科临床用血规范管理的途径。方法从用血量控制、输血病历监管、输血环节把握及附加调整等4个方面,对我院2014-2015年1-5月同期临床输血评价体系进行总结、分析。结果随着医院不断增加的病种和床位数,在总体血量计划数不变的状况下,合理控制临床患者的用血均量数;平衡临床科室申请备血与实际用血量的关系;着手临床输血病历在输血前、中、后的监查,对临床输血的每个环节进行合理的数据比较及监控同比增长率。结论医院加强输血科输血质量管理,严格做好临床用血管理评价,是减少不合格输血、计划用血、安全用血的关键。

Objective To explore the mode of clinical blood standard management in hospital transfusion department. Methods Four aspects in the clinical blood transfusion system, including volume control, blood transfusion medical super- vision, blood transfusion chain control and additional adjustment, in our hospital from January 2014 to May were evaluated and analyzed. Results With increasing numbers of emerging disease and the number of beds, under the condition of main- taining the same total amount of blood, average amount of blood for clinical usage was monitored reasonably. The relationship between the needs of clinical departments for blood and the actual use of blood was balanced. Medical records on clinical blood transfusion were audited before, during and after the transfusion. A comparison was conducted on the data from each link of clinical blood transfusion and the growth rate of clinical needs was supervised. Conclusion The key to reduce the number of non-qualified blood transfusion, to improve planning of blood usage, and to guarantee the safe use of blood is to strengthen the quality management of blood transfusion and stricdy manage the clinical use of blood.